1 The most common causes of anaphylaxis include drugs, such as penicillin, insect stings, foods (peanuts, shellfish), X-ray dye, and latex. 2  The symptoms of anaphylaxis may vary and can include hives, tongue swelling, vomiting, and even shock.
The maximum pharmaceutical dose that can be taken daily of regular tramadol is 400 mg (two 50 mg pills 4x a day). Read More. The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum.
Tramadol has been given in single oral doses of 50, 75, and 100 mg to patients with pain following surgical procedures and pain following oral surgery (extraction of impacted molars). In single-dose models of pain following oral surgery, pain relief was demonstrated in some patients at doses of 50 mg and 75 mg.